Sleep Quality Of Nurses Research Articles

Selected Neurophysiological, Psychological, and Behavioral Influences on Subjective Sleep Quality in Nurses: A Structure Equation Model

Few studies have examined relationships among neurophysiological, psychological, and behavioral factors with regard to their effects on sleep quality. We used a structure equation model to investigate behavioral and psychological factors that influence neurophysiological regulation of sleep in shift workers. Using a cross-sectional study design, we tested the model with a sample of 338 female nurses working rotating shifts at an urban regional hospital. The Morningness-Eveningness Questionnaire (MEQ) and short-form Menstrual Distress Questionnaire (MDQ) were used to measure neurophysiological factors involved in morningness-eveningness and menstrual distress. The Sleep Hygiene Awareness and Practice Scale (SHAPS) and Profile of Mood States Short Form (POMS-SF) were completed to measure behavioral factors of sleep hygiene practices and psychological factors of mood states. In addition, the Pittsburgh Sleep Quality Index (PSQI) measured participant's self-reported sleep quality. The results revealed that sleep hygiene practices and mood states mediated the effects of morningness-eveningness and menstrual distress on sleep quality. Our findings provide support for developing interventions to enhance sleep hygiene and maintain positive mood states to reduce the influence of neurophysiological factors on sleep quality among shift workers.

Correlational study on sleep quality and job stressors in nurses from gerontology department of one grade 3 and first-class hospital in Shanghai

Objective To investigate the relationship between sleep quality and job stressors.Methods The research population was comprised of nurses in the department of gerontology from one grade 3 and first-class hospital in Shanghai and the research was conducted with a total of 95 nurses between January and April in 2012.Job Stressor Questionnaire and the Pittsburgh Sleep Quality Index (PSQI) were used for data collection in the research.Results The analysis shows that the average PSQI score of 95 subject nurses was (6.92 ± 3.37),48 of them (50.53％) suffered sleep disorders (PSQI ≥ 7).Their sleep quality was poorer than normal adults',their scores of all seven items were higher than normal adults' and the difference was statistically significant (P ＜ 0.01).Among all of scores,the score on patient nursing was the highest.Classified by different conditions of subjects,the incidence of sleep disorder of different shift nurses was statistically significant (F =5.11,P ＜ 0.05).The top ten job stressors of the nurses in the department of gerontology ranked by correlation coefficients between the stressors and sleep disorders (PSQI≥7)were:noncorporation of patients (0.303),less understanding and support of nursing management team (0.300),lacking of enough knowledge (0.298),unfriendly work atmosphere (0.285),unclear job descriptions (0.276),less nurses on duty (0.270),impolite patients (0.268),frequent shift work (0.266),lower income and less welfare (0.266),over demanding patients(0.261),much more non professional work(0.254).Conclusions The poor sleep quality of nurses in the department of gerontology is closely correlated with work characteristics.Appropriate measures should be taken to reduce job stress and improve the sleep quality of nurses in the department of gerontology. Key words: Nurses; Department of gerontology; Sleep quality; Job stressors

Sleep Quality in Nurses

The study investigated the number of days off nurses working night shifts need to recover their sleep quality to the level of daytime workers during their days off. This study included 30 day-shift nurses and 32 night-shift nurses. It was conducted as a randomized clinical trial in the medical and surgical wards of a medical center in northern Taiwan in May and June 2010 using sleep diaries and sleep parameters collected by actigraphy on different workdays and days off. On workdays, the night-shift group had significantly less total sleep time (TST) on Day 5 and significantly lower sleep efficiency (SE) on Day 3 than the day-shift group. TSTs of the two groups on days off were higher than those on workdays. On the 4th consecutive day off, higher TST, a decrease in WASO, and an increase in SE suggests that the night-shift group had recovered their sleep quality to the level of the day-shift group on their days off. The SE of the night-shift group exceeded that of the day-shift group after the 4th consecutive day off, though the difference was not statistically significant in the present study. Based on these data, it is recommended that night-shift workers arrange a period of at least 4 days off after 5 consecutive night shifts and at least 5 days off if the staff who have previously worked night shifts are being assigned a set of different shifts.

Declining Sleep Quality among Nurses: A Population-Based Four-Year Longitudinal Study on the Transition from Nursing Education to Working Life

BackgroundSeveral studies have established impaired sleep is a common problem among nurses. Overworked, fatigued and stressed nurses are at a higher risk of making mistakes that threaten patient safety as well as their own health. The aim of the present study was to longitudinally monitor the development of sleep quality in nurses, starting from the last semester at the university, with three subsequent annual follow-ups once the nurses had entered working life.Methodology/Principal FindingsNationwide, longitudinal questionnaire study of nursing students and newly qualified nurses in Sweden. The results imply a continuous decline in sleep quality among nurses during the three years of follow-up, starting from their last semester of nursing education and continuing for three years into their working life. The most pronounced short-term decline in sleep quality seems to occur in the transition between student life and working life.Conclusion/SignificanceThis finding is important since it may affect the quality of care and the health of nurses negatively.

Fatigue and Sleep Quality in Nurses

Fatigue is a critical issue for nurses that may lead to medical errors, degradation in performance, decreased mental acuity, and social problems. Poor sleep quality is also a contributing factor in fatigue that nurses experience. Therefore, the purpose of this study was to examine the differences in perceptions of fatigue between night-shift and day-shift nurses, as measured by scores on the Brief Fatigue Inventory (BFI) and to examine differences in sleep quality between the two groups, as measured by responses on the Pittsburgh Sleep Quality Index (PSQI). Univariate analysis of variance showed significant differences between the two groups on the BFI, with the night-shift cohort reporting higher mean scores on the BFI. Significant differences were also found between the two groups on PSQI mean scores, with the night-shift cohort reporting higher mean scores. Findings from this study suggest that night-shift nurses, compared with day-shift nurses, perceived a much higher level of fatigue and had poorer sleep quality. Further research is needed to evaluate interventions that might decrease fatigue in nurses and improve their sleep quality.